U.S. Health and Human Services Secretary Kathleen Sebelius, left, and Washington Gov. Chris Gregoire, talk with Dr. Gary Kaplan, second from right, Chairman and CEO of the Virginia Mason Health ... more

U.S. Health and Human Services Secretary Kathleen Sebelius, left, and Washington Gov. Chris Gregoire, talk with Dr. Gary Kaplan, second from right, Chairman and CEO of the Virginia Mason Health System, Wednesday, Feb. 9, 2011, in Seattle. Kaplan was explaining how he uses the project wall at left, and managment techniques based in part on techniques used by Toyota in Japan, to manage his hospital. (AP Photo) less